Healthcare Provider Details

I. General information

NPI: 1891896999
Provider Name (Legal Business Name): COLORADO DEPARTMENT OF HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 SHERMAN ST
DENVER CO
80203-1702
US

IV. Provider business mailing address

1575 SHERMAN ST
DENVER CO
80203-1702
US

V. Phone/Fax

Practice location:
  • Phone: 303-866-5000
  • Fax:
Mailing address:
  • Phone: 303-866-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateCO

VIII. Authorized Official

Name: MRS. KATHLEEN VERONICA FOO
Title or Position: HIPAA PRIVACY AND SECURITY OFFICER
Credential:
Phone: 303-866-5871